MDS IMAGING INC (NPI# 1558399147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558399147 |
| Entity Type | Organization |
| Organization Name | MDS IMAGING INC |
| Practice Address |
465 Winn Way Suite 160 Decatur GA 30030 |
| Practice Telephone | 4042976806 |
| Practice Fax Number | 4042979195 |
| Mailing Telephone | 4042976806 |
| Mailing Fax Number | 4042979195 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARRETT B BARNES (PRESIDENT) |
| Authorized Official Telephone | 4042976806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Street Address |
465 WINN WAY SUITE 160 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093707325 | Gayle Leff Goldstein | Ophthalmology | 465 Winn Way, Ste 140, Decatur, GA 30030-1753 | 2005-08-23 |
| 1184230237 | Miracle Penny | Behavior Technician | 465 Winn Way, Decatur, GA 30030-1753 | 2020-09-23 |
| 1447874862 | Nicholas Okeith Rocker | Behavior Technician | 465 Winn Way, Decatur, GA 30030-1753 | 2020-06-01 |
| 1811349640 | Advanced Counseling Services | Counselor | 465 Winn Way, Suite 150, Decatur, GA 30030-1753 | 2016-07-05 |
| 1003296062 | Shaina Gordon | Counselor | 465 Winn Way, 221, Decatur, GA 30030-1753 | 2015-06-04 |
| 1386929073 | Robin May | Counselor | 465 Winn Way, Suite 221, Decatur, GA 30030-1753 | 2011-10-13 |
| 1013200070 | Anna Christina Davis | Counselor | 465 Winn Way, Suite 221, Decatur, GA 30030-1753 | 2011-05-24 |
| 1497052963 | South Central Community and Social Services LLC | Community/Behavioral Health | 465 Winn Way, Suite 150, Decatur, GA 30030-1753 | 2011-02-18 |
| 1164751012 | Michael B Stubbs Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 465 Winn Way, Suite 211, Decatur, GA 30030-1753 | 2009-12-23 |
| 1083858716 | Susan Laney Castle | Nurse Practitioner | 465 Winn Way, Suite 215, Decatur, GA 30030-1753 | 2009-04-24 |
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|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
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| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033179809 | Open Mri of Decatur LLC | Clinic/Center | 1201 13th Avenue Se, Decatur, AL 35601 | 2006-03-25 |
| 1508315086 | Decatur Open Mri, Inc. | Clinic/Center | 2905 N Main St, Suite F, Decatur, IL 62526-4276 | 2016-09-26 |
| 1003830779 | Community Open Mri of Auburn, LLC | Clinic/Center | 1401 N 13th St, Ste. B, Decatur, IN 46733-3139 | 2006-07-27 |
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| 1053922567 | American Health Imaging of Georgia LLC | Clinic/Center | 30 Janet Dr # 101, Savannah, GA 31405-5518 | 2020-08-10 |
| 1093372666 | James Zimmerman Md | Clinic/Center | 6050 Peachtree Pkwy Ste 400, Peachtree Corners, GA 30092-3477 | 2019-05-20 |
| 1730485269 | Direct Medical Imaging | Clinic/Center | 999 Chestnut St Se, Gainesville, GA 30501-6956 | 2011-02-01 |
| 1689983777 | Peachtree Mri LLC | Clinic/Center | 1380 Carlysle Park Dr, Lawrenceville, GA 30044-2249 | 2010-10-06 |
| 1770732968 | Hospital Authority of Effingham County | Clinic/Center | 110 Goshen Road, Rincon, GA 31326 | 2008-09-12 |
| 1619199932 | Presgar Imaging of Augusta, LLC | Clinic/Center | 3610 Wheeler Road, Augusta, GA 30909 | 2007-05-03 |
| 1285701482 | Orthopedic Center PC | Clinic/Center | 1601 Fair Rd Ste 1100, Statesboro, GA 30458-0801 | 2006-11-30 |
| 1699860130 | Elite Mri of Laurens, LLC | Clinic/Center | 113 Fairview Park Drive, #a, Dublin, GA 31021 | 2006-10-03 |
| 1205886348 | Royston Diagnostic Center, LLC | Clinic/Center | 930 Franklin Springs St, Royston, GA 30662-3908 | 2006-05-11 |
| 1386609303 | Diagnostic Imaging Solutions | Clinic/Center | 2140 Buford Hwy, Suite 108, Buford, GA 30518-6120 | 2006-04-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.